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DR. TAYLOR PATRICE DORLACK PHD, BCBA, NCSP
NPI 1386028868
Psychologist - Clinical in Park Ridge, IL

Active since July 15, 2015PECOS Enrolled
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 318-9330(847) 723-9470 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Oct 2, 2024, Sep 16, 2024 (3 updates tracked since 2024).

About Dr. Taylor Patrice Dorlack Phd, Bcba, Ncsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAYLOR PATRICE DORLACK PHD, BCBA, NCSP (NPI 1386028868) is an individual clinical provider in Park Ridge, Illinois, licensed in Illinois (071.011202) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Plaines.

NPPES Registry Identity

NPI1386028868
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TAYLOR PATRICE DORLACKCredential: PHD, BCBA, NCSP
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(847) 318-9330
Fax(847) 723-9470
Sole ProprietorNo
Enumeration DateJuly 15, 2015
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1386028868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.011202
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-23-66618
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 65630
1675 DEMPSTER ST, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 18901 Golf Rd Ste 301Des Plaines, IL 60016-4029 · Phone (847) 318-9330

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taylor Patrice Dorlack Phd, Bcba, Ncsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Dorlack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
0.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYUBIN KYUNG DO
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. NOUR AKHRAS M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. JURAT SINGH RAJPAL M.D.
Pediatrics (Pediatric Nephrology)
1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. CHRISTOPHER M JAMERSON M.D.
Pediatrics
1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 723-9557
SUSAN MICHELE UNFER M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. WILLIAM RICHARD GOODELL M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 723-9400
RABIAH BASITH
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
JASPER KUHN MD
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Dorlack's NPI number?

The NPI number for Taylor Dorlack is 1386028868. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Taylor Dorlack located?

Taylor Dorlack practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-9330.

What is Taylor Dorlack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Taylor Dorlack enrolled in Medicare?

Yes. Taylor Dorlack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Dorlack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Dorlack reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Dorlack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Dorlack accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Taylor Dorlack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Dorlack was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.